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Lisa Longoria

NPI 1548686876 · on the registry since 2014

Practice

Address
17615 Bailey Rd
Bailey, MI 49303
Phone
(616) 914-7362
Fax
(231) 282-7057
Clinicians at this address
2

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-03-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan